Observation of Emergency Obstetrical Situations.

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

235 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-10-15

Study Completion Date

2018-02-01

Brief Summary

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The TeamOBS study is an observational study. We analyze actually recordings of obstetric emergencies to get an even better understanding and knowledge of the association between the communication and cooperation and the quality of the performance of the interdisciplinary team.

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Detailed Description

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Background:

In obstetric emergency situations (OES) inadequate non-technical skills (NTS) are the leading causes of substandard care.

Aim:

Based on live audio and video (AV)-recordings of real (OES) the aim is to describes how the NTS and the clinical performance are related.

Method:

1. Inclusion of the teams. OES teams from the delivery ward at two Danish hospitals, Aarhus University Hospital and Horsens Regional Hospital are AV-recorded are collected and saved for analyzing with consent from all participant.
2. Develop a scoring tool to rate clinical performance in OES. 12 Ekspert Senior Obstetricians from different maternity units in Britain, Norway, Sweden, Denmark and Iceland volunteered to join the Delphi panel and develop a clinical performance tool.
3. Rate clinical performance. Using the developed tool in 2) to rate live teams
4. Rate NTS Recording of teams will be rated by the validated list: Assessment of Obstetric Team Performance with the validated tool from Pamela Morgan: AOTP. Furthermore important observations will be code. Video assessments is planned for 2016-2018
5. Explore the association between clinical performance and NTS in OES. Results from 3) and 4) will be compared.

Discussion:

We expect that this study will add to the knowledge of NTS and the effect on clinical performance in OES.

Conditions

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Unspecified Obstetrical Trauma, With Delivery Emergencies

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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1: Study population

Participants in this study are working staff (junior and senior doctors, midwifes and other health personal) in the maternity wards of two hospitals in Central Region Denmark: Horsens Regional Hospital and Aarhus University Hospital, Skejby.

no intervention

Intervention Type OTHER

No intervention - only observation of teams delivering acute obstetric care

Interventions

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no intervention

No intervention - only observation of teams delivering acute obstetric care

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Eclampsia,
2. Post-partum haemorrhage,
3. New -born resuscitation (Apgar ≤ 7/5 min),
4. Shoulder dystocia and
5. Instrumental delivery. The situation can be included if a video recording is capture of the event and all participant in the video have given informed consent.